Immediadent Of Indiana, P.C. in Overland Park - Dentist
Immediadent Of Indiana, P.C. - NPI 1063560555
Immediadent Of Indiana, P.C. is a Dentist in Overland Park, Kansas. Immediadent Of Indiana, P.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Immediadent Of Indiana, P.C. is 1063560555. The last update date is 2017-04-12.
Immediadent Of Indiana, P.C.'s current location address is Po Box 11568, Overland Park, Kansas. You can contact this provider via phone number 9134281674 and fax number 9138006967. The mailing address for Immediadent Of Indiana, P.C. is Po Box 11568, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Immediadent Of Indiana, P.C. |
|---|---|
| Address | Po Box 11568, Overland Park, Kansas |
| Phone Number | 9134281674 |
| Fax Number | 9138006967 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Wheeler Amy |
| Telephone Number | 9138006952 |
NPI Number Detail
| NPI Number | 1063560555 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2017-04-12 |
Provider Mailing Address Detail
| Address | Po Box 11568 |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662074268 |
| Phone Number | 9134281674 |
| Fax Number | 9138006967 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200377170 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Immediadent Of Indiana, P.C. by the Centers for Medicare & Medicaid Services?
The Immediadent Of Indiana, P.C. has been assigned the NPI (National Provider Identifier) 1063560555 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Immediadent Of Indiana, P.C.?
The Immediadent Of Indiana, P.C. is physically situated at Po Box 11568, in the city of Overland Park, state of KS, with the postal code 662074268.
What is the area of specialization for Immediadent Of Indiana, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Immediadent Of Indiana, P.C. is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063560555 to Immediadent Of Indiana, P.C.?
The Immediadent Of Indiana, P.C. received its 1063560555 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date was the information pertaining to Immediadent Of Indiana, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Immediadent Of Indiana, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-12.